Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Antonette K Stahnke, PA-C

Individual provider Physician Assistant · NPI 1639665193

Mrs. Antonette K Stahnke, PA-C is a Physician Assistant in Green Bay, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2253 W Mason St
Green Bay, WI 54303-4706
Phone: (920) 327-7300
Fax: (920) 327-7301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 744 S Webster Ave, Green Bay, WI 54301-3505 — (847) 990-5300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4940 (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1639665193
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

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